Reasons for spotting during pregnancy and what you can do about it

Seeing spots of blood during pregnancy is usually a cause for concern. However, it is not uncommon. The light bleeding, which is known as spotting may occur for a number of reasons.

Bleeding during the first trimester

Spotting is most likely to happen during early pregnancy and the reasons could be many, such as:

- implantation bleeding occurs during the first month of pregnancy when the fertilised egg gets attached to the wall of the uterus.

- cervical polyps ( a tumour that form on the surface of the cervix) or yeast infection may also cause episodes of spotting.

- miscarriage may be another possible reason for spotting

- ectopic pregnancy is another cause. It is the condition in which the embryo plants itself in either of the fallopian tubes instead of the uterus.

- molar pregnancy is a rare condition associated with spotting during pregnancy. When this is the case, instead of your baby, an abnormal tissue grows inside the uterus. Sometimes it can be cancerous too.

Bleeding during the second or third trimesters

Spotting may also occur during late pregnancy and the possible reasons are listed below.

- problems related to placenta like placenta previa placental abruption can also result in spotting. These are serious conditions when the placenta either covers the cervix or it gets detached from the uterine wall respectively.

- uterine rupture is the rare and unfortunate event when a scar from a previous surgery (like the removal of fibroid or previous caesarean scar bursts open and the baby slips into the pregnant woman's abdomen.

- premature labour occurs when your body is too eager to deliver the baby, usually one month before the due date of delivery.

- vasa Previa is another rare condition when a baby who is still developing has his blood vessels entangled in the umbilical cord or placenta-crossing the cervix. It is extremely dangerous because the blood vessels may burst open thus causing the baby to bleed and lose oxygen.

Here's what you can do about spotting

It is strongly recommended that you should immediately see your doctor as soon as you detect any spotting during your pregnancy. Only a well-qualified medical expert can suggest the appropriate steps to be taken, depending on your individual reasons and symptoms related to spotting.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Changes You Can Expect During the 2nd Trimester of Pregnancy

Reasons for Spotting During Pregnancy

What You Must Know About ZIKA VIRUS

Introduction to the ZIKA VIRUS:

After the deadly Yellow Fever and Ebola pandemics, Zika Virus is yet another disease borne out of the African soil and spreading across the world right now. Named after the Zika forest in Uganda, where it originated, this virus spreads through a mosquito bite - that of ‘aedes aegypti’ mosquito. It can also be passed on from mother to child, blood transfusion and sex. 

What’s so deadly about ‘Aedes Aegypti’ Mosquito?

Zika Virus spreads via ‘aedes aegypti’ mosquito, same mosquito that also spreads Dengue and Chikungunya.These mosquitoes typically lay eggs in and near still water found in buckets, bowls, animal dishes, flower pots and vases.  They are aggressive daytime biters, prefer to bite people, and live indoors and outdoors near people.
These mosquitoes become infected when they feed on a person already infected with the virus. Infected mosquitoes can then spread the virus to other people through bites.

Symptoms of Zika Virus Attack
A person bit by an infected mosquito takes about 2-7 days to show symptoms like:
- Mild fever 
- Skin Rash
- Conjunctivitis
- Muscle and joint pain 
- Weakness and Fatigue

However, it lasts no more than a week and is usually milder than its cousins Dengue or Chikungunya. Although it is not a fatal disease, the real reason behind the panic is for the women who are pregnant. Zika is found to be a major cause of microcephaly – a birth defect due to which children are born with visibly smaller heads, severely limiting their mental and physical abilities. 

Should India Worry?

While it originated in the African continent, Zika has already taken South American countries like Brazil, and most others. Although the virus hasn’t reached Indian shores yet, we are very prone to mosquito borne diseases. The Dengue menace since last few years says it all. Since it is from the same family, we need to be all the more cautious. 

Preventions and Precautions:

Since no vaccine exists to prevent Zika virus attack, it’s best to act with caution to prevent the spread.

1. Mosquitoes that spread Zika virus bite mostly during the daytime. Stay in places with air conditioning or that use window and door screens to keep mosquitoes outside.
2. Use Mosquito Repellents during the day when exposed to areas prone to mosquitoes and cover yourself very well.
3. Never allow water to stagnate in or around your habitation. Avoid letting the water stand for long eg: puddles, or water in buckets or potted plants, sewage etc.



What is ZIKA VIRUS? Is it Deadlier than Dengue? Is India Ready To Face the ZIKA 

Once you have got the happy news of a little one coming soon in your life, you should start taking some special care so that you can enjoy the journey of pregnancy and get a healthy baby.
 These are some pointers you have to follow during pregnancy:
Maintain good hygiene during pregnancy.Take bath regularly. Warm shower or sponge bath is considered better than tub bath.
Brush your teeth regularly and have a regular dental check up. Caries tooth can be extracted after 12 weeks of pregnancy.
Avoid wearing tight clothes and shoes with high heels. Wear loose and light clothes.
Take lots of fluid, fresh fruits & vegetables.
Take a diet which is light, nutritious, easily digestible & rich in protein, less fat, minerals and vitamins.
Stop smoking and drinking alcohol. It can cause miscarriage, defect in the development and growth of the baby.
Avoid jerky travelling, especially in 1st 12 wks and last 6wks of pregnancy. Prolonged sitting in a car or plane should be avoided. Air travel is not advisable to women who have high blood pressure, less hemoglobin (anemia) and low lying placenta.
Avoid taking any unprescribed drugs, exposure to X-Ray & chemicals especially in the 1st 12 weeks of pregnancy.
Take adequate rest in the lateral position and relax 1-2 hrs in the afternoon & 8 hrs at night.
Start taking folic acid at least 3 months before planning pregnancy & continue it till the 1st 12 weeks of pregnancy.
Start taking iron & calcium after 12 wks of pregnancy and continue it throughout pregnancy and 6 months post delivery.
Exercise regularly during pregnancy. Walking is the best exercise, but long periods of walking should be avoided. Also avoid heavy weight lifting and prolonged standing. Diving, water sking, gymnastic, netball, hockey, horse riding, cycling, rock-climbing, & scuba diving exercises should be avoided during pregnancy.
If you have any of these symptoms - vaginal bleeding, persistent abdominal pain, persistent vomiting, watery discharge from vagina, less or no fetal movement, severe headache, swelling on hands, face & feet, fever, dizziness, blurring of vision, double vision, spots before eyes, painful urination and diarrhea, immediately consult your gynecologist.

Do's and Don'ts in Pregnancy

6 pregnancy complications you need to know about

The biggest wish of a to be mother's mind is a smooth and safe pregnancy. One of the ways you can deliver your baby safely is by being aware of the complications that may arise during this period and taking precautionary measures to reduce your chances of developing them.

Here are the 6 pregnancy complications that you need to know about?

1. Preeclampsia

Preeclampsia is a condition that normally occurs after the 20th week and is characterized by high blood pressure, kidney abnormalities and the presence of protein in your urine. Most of the time, symptoms are mild, which can be easily resolved with proper care. But the condition can progress quickly, causing several of your organs to not function properly and even proving to be life-threatening.

2. Gestational diabetes

Gestational diabetes happens when hormonal changes during this period hamper your body's use of insulin. As a consequence, the insulin hormone is unable to normalize blood sugar levels, leading to abnormally high blood sugar levels. While the condition is not usually a cause of concern for the mother, it can pose several health problems for the baby, more specifically, the occurrence of macrosomia (a condition wherein the baby has an abnormal body weight).

3. Premature labor

You're said to suffer from premature labor or preterm labor if you experience regular contractions that lead to your cervix dilating and effacing before the 37th week. Preterm birth can prove dangerous for the baby, not to mention make it prone to several health problems. In order for it stay alive and be healthy, you child needs to reach its full maturity before birth.

4. Ectopic pregnancy

When the fetus develops outside the womb, more specifically in the fallopian tube, a condition known as ectopic pregnancy is said to occur. It is highly important to put a stop to this pregnancy complication as it the developing embryo might bring about the rupturing of the fallopian tube, and may result in internal bleeding.

5. Placenta previa

The condition of placenta previa sees your placenta occupying a very low position in the uterus, most commonly, adjacent to or over your cervix. If the placenta continues to be at this position during the whole course of the pregnancy, it can lead to bleeding as well as other complications.

6. Low amniotic fluid

It is the fluid-filled amniotic sac that supports and protects your baby in the womb. It is said that about 4% of pregnant women worldwide experience low amniotic fluid levels during their pregnancy. This condition is also known as oligohydramnios. When this happens, labor is usually induced as you come close to the end of your pregnancy.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Changes You Can Expect During the 2nd Trimester of Pregnancy

6 Pregnancy Complications You Need to Know About

How to know if you're pregnant

There are two main ways of finding out if you are pregnant - getting your blood tested, and doing home pregnancy urine test. In order for these tests to give you a clear picture, you need to wait until the right time i.e. until you've missed your period. However, there are several early signs of pregnancy that can give you an indication that you might be expecting.

1. Shortness of breath - Do you find yourself losing your breath on the stairs or when you walk for a long period of time, more than you usually do? This could be a sign of pregnancy since the fetus needs oxygen, leaving you feeling a little breathless even when you mildly exert yourself.

2. Sore breasts - If your breasts suddenly start feeling a little heavy or you feel like they have grown and your areolas seem slightly darker, it could be one of the first signs that you are pregnant.

3. Fatigue - The increase in hormones in your body during a pregnancy could lead to you feeling a lot more tired. If you end up exhausted after a normal day this could be because women tend to feel extreme tiredness during their first trimester of pregnancy.

4. Nausea - Around 6 weeks into a pregnancy (sometimes earlier), women tend to feel nauseous. This usually subsides as you enter into your second trimester. Feeling nauseous could be a sign of pregnancy. You can treat it by eating things that help settle your stomach like crackers and soda.

5. Frequent Urination - If you notice yourself needing to urinate more than usual, it could be a sign of pregnancy. This happens because your body is now producing extra fluids that cause your bladder to work extra.

6. Headaches - An early sign of pregnancy is experiencing frequent headaches. This happens because your body is now suddenly dealing with a lot of excessive hormones. To deal with the headaches make sure you take a pregnancy safe painkiller instead of a normal one.

Everybody has a way of expressing itself if only we take the time out to listen. If we really pay attention to these tiny reactions, detecting a pregnancy early, that is even before you skip that period is possible



How to know if you're pregnant

Are you pregnant and wondering whether is it okay to continue having sex? If you are having a normal pregnancy, it is fine to keep on having sex until your water breaks or you are going into labour. However, there are some circumstances where you may have to modify your sexual activities or avoid having sex.

Does sex during pregnancy harm your baby?
Your baby is not hurt, if you have sex during pregnancy. The amniotic sac and strong muscles of the uterus keep the baby protected. The thick mucus plug sealing the cervix guards the baby from infections.

Does sex during pregnancy trigger labour?
In the case of a normal and low risk pregnancy, there are no such risks as sexual stimulation cannot start labour or lead to a miscarriage. Some mild uterine contractions may occur because of an orgasm, but they are quite harmless and temporary.

The best sexual positions during pregnancy
During pregnancy, you should experiment in order to find out the sexual positions which are most comfortable for you. Finding a suitable sexual position is hard because of the growing belly.

The missionary position becomes quite tough as your pregnancy develops and is impossible to carry out during late pregnancy. If you try this position during your first trimester of pregnancy, you should wedge a pillow under you. This should be done so that your position is not tilted and you do not lay flat on your back. Your partner should make sure not to put any pressure or support on your abdomen.
Oral sex is considered to be safe during pregnancy, but there are certain limitations. Licking is okay, but blowing into your genital area should be abstained from. Forcing air into the vagina may lead to an air embolism. This can be harmful for your developing baby.
It is not safe for you to indulge in oral sex with your partner during pregnancy, if he has oral herpes. If your partner has got oral herpes, you should completely abstain from having sex during the third trimester of pregnancy, even though he does not show symptoms.
In case you are not sure of your partner s HIV status, you should use a dental dam or a sheet of latex for placing between your genitals and partner s mouth. You should take suggestions and tips from a doctor to know more about sex during pregnancy.

 Safe Ways to Have Sex During Pregnancy!

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